| NPI | 1285634071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 35.055437) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35055437) |
| 208000000X Pediatrics (Licence: OH 35-055437) | |
| 208D00000X General Practice (Licence: NM MD000025868) | |
| 208D00000X General Practice (Licence: PA MD43857E) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2018-05-15 |